July 21-25 from 3:30pm - 6:00pm. $20.00 per child. Ages 3 yrs old to 5th grade.
Child's Name:
Age:
Address:
City:
Zip Code:
Home Phone:
Mobile Phone:
E-mail:
Date of Birth: (mm/dd/yyyy)
Last Grade Completed:
Mother's Name:
Father's Name:
Allergies/Special Needs/Medical Conditions/Notes:
Home Church Name:
T-shirt Size:
YOUTH
ADULT
Emergency Contact
Name:
Phone:
A "Permission and Medical Release Form" must be signed by a parent or guardian. Please print a copy of this form by clicking on the above link. After completing, sign and return to the Church Office.